Medicaid is available to individuals who are younger than 21 years of age and who live in foster care homes or private institutions licensed by Department of Social Services (DSS) or are receiving adoption assistance because of special needs. The type of arrangement in which the individual lives determines if he or she is treated as an individual or a member of the household in which his or her parents live.
To be Medicaid eligible, the individual must receive a regular foster care board payment or a payment for maintenance under a Social Services Block Grant, or be supported fully or partially from public funds of any State or local agency. The income and resources available to the individual may not exceed the appropriate foster home care board payment standard for the individualís age and the TANF resource limitation.
Income eligibility determination follows the rules of the related cash assistance category under which the individual is applying. For example, if the child is applying as a child under 19, the income eligibility criteria for that group is applied. If the child is applying as a disabled child, age 18 to 21, Supplemental Security Income (SSI) criteria would be used to determine income eligibility.
For children in special living arrangements whose eligibility is based on Family Independence Program (FIP) related criteria, there is no resource test. For those whose eligibility is based on SSI related criteria, the resource test is the same as SSI.
Medicaid Program - Optional Group Coverage
Medicaid Program - Non-Financial Eligibility
Medicaid Program - Financial Eligibility
Medicaid Program - Services
Medicaid Program - Overview
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